Haemophilus

Kuvele ezithathelwanayo sibi isifo esibangelwe igciwane nemvelo, kubangelwa Umkhuhlane Wand (haemophilus influenzae), liye labizwa ngokuthi i-haemophilus influenzae. Ukuze lesi sifo libhekene ukuthuthukiswa purulent izilonda kwezitho zomzimba, izilonda umgudu wokuphefumula futhi ethukile. I-bacterium ubukhulu coccobacilli engafinyelela kwengu-1 Micron. Ngezindawo kwamasiko ukuhlukanisa 7 biotypes bacilli, okunye kwako capsule. Namuhla izinhlobo Umkhuhlane capsule 6, okuyinto ifakwe ku-A kuya F. zokugula kwabantu ka okukhulu ukubaluleka haemophilus influenzae yohlobo B ezaziwayo.

Haemophilus idluliselwa kuphela endleleni abantu ukutheleleka - sisemoyeni. Ngo-90% abantu abayimiqemane isehlane kusukela nasopharynx ka haemophilus influenzae, okuyinto 5% of the lwegciwane kwenzeka uhlobo b.

Ngo iningi amacala eqoshiwe haemophilus influenzae ezinganeni ezineminyaka ngemva kwezinyanga eziyisithupha kuya eminyakeni emihlanu. Kakhulu kangakanani ngokuvamile ukutheleleka kwenzeka kwezinhliziyo zezinsana nezezingane abaneminyaka engama ezinhlanu. Okusanda haemophilus ngokwethukela ezilotshwe abadala. Kuvamisile isiqongo kwenzeka ngo-February futhi entwasahlobo izinyanga.
Gateway kuyinto mucosa nasopharyngeal. Lwegciwane ukwazi uqhubeke isikhathi eside kungekho zimpawu zokugula. Nge buthakathaka amasosha omzimba uhlobo esicashile ukutheleleka ungaya ku-manifest. haemophilus Distributed ngaleyo ndlela kwezicubu ezizungezile, okubangela ukuthuthukiswa ukucinana kwemigudu yokuphefumula, otitis, sinusitis, inyumoniya. Ukuze dessiminirovannoy izifo Kuphinde sici arthritis suppurative futhi cellulitis, futhi kwezinye izimo, futhi yangaphakathi isitho ukuzibandakanya. Ngaphezu kwalokho, isifo letindzala kwenzeka kuphela uma lwegciwane kuyinto capsule. Ngaphandle capsule izinhlobo zama-bacterium kubangele ukuvuvukala ulwelwesi lwamafinyila kuphela.

izimpawu

Setha isikhathi kwesikhathi bayashintshana ekufukameleni akunakwenzeka kulesi sifo bebelokhu isifo lingaze ngokuvamile kubangelwa esicashile. imbangela njalo ukutheleleka generalized ezinganeni haemophilus influenzae yohlobo B.

Haemophilus influenzae, njengoba umthetho, sibi. Pi dessiminirovannoy uhlobo sifo kwesigamu amacala ukuthuthukisa ubovu meningitis e-20% amacala - yisishiso emaphashini, ngezinye izikhathi kunezinye izilonda eqondile. Ukuze isifo libhekene ukubonakaliswa emitholampilo ezilandelayo:

- pneumonia oyingozi;
- ubovu meningitis;
- ukuvuvukala izicubu ongama;
- septicemia;
- ubovu sokuqaqamba kwamalunga;
- epiglottitis;
- abezindaba otitis, sinusitis, pericarditis, kwezinye izimpawu, ukubona.

Haemophilus influenzae - imbangela evame kakhulu ubovu meningitis ezinganeni kusuka onyakeni owodwa kuya eminyakeni engamashumi 4. Meningitis ngokuvamile iqala nge izimpawu yokugula zokuphefumula. Kamuva avele ejwayelekile webhaktheriya meningitis izimpawu. Lesi sifo siphela kanzima njalo, e-10% amacala uphela ezibulalayo. Ngezinye izikhathi kuhambisana ubovu meningitis, isifo samathambo ne-cellulite. Haemophilus influenzae inyumoniya kokubili lobar futhi ebalulekile, ngokuvamile nzima ubovu pleurisy. Isifo samaphaphu singenzeka lihambisana ukuvuvukala phakathi indlebe kanye ubovu pericarditis.
Sepsis eba ngokuvamile kakhulu izingane ezingaphansi konyaka, senzeka ngejubane umbani ukuthuthukiswa ukushaqeka ukonakala. Cellulite futhi isici izingane ezingaphansi konyaka futhi iqala izimpawu ka-acute nezifo zokuphefumula. Ezinganeni ezindala, ngokuvamile yenziwe yaba yasendaweni cellulite phezu imilenze. Epiglottitis (ukuvuvukala epiglottis) ubhekwa ifomu okunzima namagciwane ephelezelwa bacteremia e-90% amacala. sokuqaqamba kwamalunga Septic zibangelwa drift hematogenous kwegciwane emalungeni, futhi uvame ukuhambisana osteomyelitis.

Ukuxilongwa kanye nokwelashwa
Haemophilus influenzae behlukene cerebrospinal fluid, isikhwehlela, ubomvu kanye nesineke. Ngendlela esisabela electrophoresis ezayo ngezinye izikhathi ehluleka ukuthola amagciwane cerebrospinal fluid noma umchamo.
Ukuze ekwelapheni izifo usebenzisa imithi elwa namagciwane tetracycline, ampicillin futhi chloramphenicol. Nokho, ukwelapha izifo ezithathelwanayo inikeza nobunzima obuthile, njengoba imbewu eletha kakhulu anenkani eziningi. Banikezwe nobunzima ukuxilongwa kanye nokwelashwa kwezifo isiba lokugoma nakakhulu ngokumelene Hib izifo. Ukugonywa ngokumelene haemophilus influenzae e 95-100% of amacala evimbela ukutheleleka. Ukugoma kunciphisa kakhulu izigameko, futhi okubaluleke kakhulu, usana bebeletha ekubonakalisweni okunzima ukutheleleka.